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MARION COUNTY BUILDING INSPECTION <br />COMMUNITY DEVELOPMENT CENTER <br /> <br /> 285 Church Street NE · Room 132 ° Salem, Oregon 97301-3670 <br />Office Hours: 8:00-4:30 · Phone: (503) 588-5147 ° 24-HR Inspection Line: (503) 373-4427 <br /> <br />CROSS ~TRFFT <br /> <br />PARCF. I. NIJH~F.R <br /> <br />OWNFR NAMF : 6-,)TdlUX <br /> <br />APPI, E~ANT <br />NAHF : NLrlRTH~'IiF Fl FC. TRTC TN(':, <br />A1)IDRF.~,~ : PO RfJX <br /> <br /> SA[ FN. OR <br /> PHI]NF : .%RS-4R79 <br /> <br />~(1NTRACTI*tR : HORTHSi[IIF' FI FCTR)C ~N~, <br /> PHI]NE : .585-4R79 <br /> <br />FI Fr, TRTCTAN -. N(1RTHS:rflF FI FCTR]rC <br /> <br />fiUPV FI FC : ])IIHN CHARI FS H <br />PHI]NE : OIINN CHARI,F.S N <br /> <br />II ~t*~ l~ta~rrJ tJon <br /> <br /> fitafe ~urrfiarge <br /> Refund <br /> <br />973~9 <br /> <br /> OCCB: 00805?3 <br />CeNTRAl!TOe LICENSE= 24-14C <br />SUPFRVTSRR LICENSE= 2223S <br /> <br />Fee <br /> <br />4~.~ <br /> 2.00 <br /> <br /> Assessed fees : 42.00 <br /> Adjustments : <br /> T~ta] fees : 42.0e <br />PAYFE: HnRTHfiTDE FI,~CYRTC THC To~e[ payments: 42.00 <br /> Ra)am'e ~ue I <br /> <br />THIS PLrR~IT I8 NDN-~B[£ ~ID EXPIRES.18~ D~¥S FROH I~8UE D~TE IF #ORK HAS <br />~_NO~ ~ ORR IF CIX46TRUCTTi~! CF. AgE8 FOR ~ PERIOB DFr 180 DRYS. OR IF ~ <br />F~;L5 TB IIIFFTF ~1[1 RFGUIRt:I~FNTS OF STATE L~ ~NI) III~RIGN COUNTY ORDZN~NCE~. UPON <br />~/RITT .N RE~GI~gT~ ONE g~X Yd~ITH Fx1rF. N~il[ON HAY I~. GRIMiTE~. <br /> <br />STC. NATURF (IF APP[ )*CANT: <br />******************************************************************************* <br />))~NI)A! )) F W(I(I))I FY, MAR)DN C(IUHTY RII]I ))TNR(; OFF)CZAL / BY I)STON~ <br /> <br /> <br />